Conan: The Mechanic

"The blood test results show that the creatine kinase is too high, what else can this mean?" Gregory calmed down his emotions, and then gave everyone this information. "Elevations in creatine kinase are often seen after strenuous exercise, after childbirth, and after injections of painkillers," replied another student. "Considering the kidney failure we've deduced that his symptoms may have come from the injection of domeridine, so I think this judgment can also be verified, just put him in bed for a few days-"

"Are you sure?" Gregory raised his eyebrows.

"Yes," the student seemed to be certain of his judgment. "Excessive creatine kinase is a classic du-"

"Do you know what's worse than trash?" Gregory interrupted him in a very irritable way. "That's just like you, a useless fool without self-awareness!"

Under the fury, the audience fell silent.

"Tell me, what else is possible?" Gregory sternly scolded the somewhat frightened students in front of him with a stern face. "tell me!"

His cane slammed **** the ground, with such ruthless force and stern tone that some girls' faces turned pale.

"Sir," the male student was also facing great psychological pressure, but he still mustered up his courage to say. "You... scared my classmates, it will affect their performance."

"Oh, do you think I scared them?" Gregory was obviously still angry. "Do you think you will be less stressed than you are now when it comes to diagnosing patients in the vertical tail stage, ah? Now, tell me, what did you **** ignore? Tell me!"

At this moment, a cold female voice came from behind the group of students, from the corner of the classroom.

"Muscle damage, right?" Although the girl was a little nervous, her voice was clear. "Muscle damage can lead to excess creatine kinase, and the myoglobin released by the damage can also damage the renal tubules, causing the kidneys to fail."

"..." After hearing this answer, Gregory suddenly calmed down and nodded after a moment of silence. "Smart, at least a lot smarter than the doctors at the time. If you were there, it wouldn't take that long."

Speaking of this, Gregory looked at the girl sitting furthest away with a complicated expression.

"Finally, how long was their diagnosis delayed?" the male student asked.

"Three days." Gregory then took his eyes off the girl and said in a helpless tone. "For three days, they put him on bed rest and gave him antibiotics like you just gave the diagnosis. Those doctors are just like you guys who boiled it all down to the simplest things, and they don't have that little girl yet. You can remind you of your mistakes. This is what ignorant and incompetent doctors do. Making mistakes will kill people. If you can't accept that you will commit a crime, either change your career as soon as possible, or finish medical school. Just go to teach, and leave the task of harming people to others to do."

"It took those seniors three days to realize that the problem might be muscle necrosis?" the female student said in disbelief. "I thought they should be faster..."

"It wasn't that it took them three days to realize that the muscles were necrotic, but..." Gregory sighed, and sat down on the chair again in a slump. "It was the patient himself who thought it might be muscle necrosis after three days and requested an MRI."

The girl sitting in the back row looked at the boy with surprise, but the boy just nodded.

"His MRI results showed that the leg pain was not caused by the private injection of Dermatin, nor was it caused by infection, but a muscle infarction caused by an aneurysm that embolized a blood vessel." Gregory's eyes were erratic, as if back then What happened is right in front of you.

"The doctor told the patient that he might need amputation, and the patient didn't agree, but asked for bypass surgery, a new pathway and simply restore blood flow - which is normal, the doctor asked for amputation because after all, it was not cut out. Of course his legs don't hurt when he's standing and talking."

"But if it took three days to diagnose, it means that the blockage may have been four days or more - muscle necrosis releases cytokines and potassium that would be in short order if restored with bypass surgery It floods back into his circulatory system, cytokines can cause organ failure, and potassium can cause cardiac arrest, which is too dangerous!" the male student questioned.

"It's very dangerous," Gregory nodded. "But the question is, who is too dangerous to not amputate under such circumstances, the patient, or the doctor who made the decision?"

"Of course we are thinking of his life!" the male student said puzzled. "At least there is still life without a leg, but if you die because of this leg..."

"Then you think, if it were you, you would tell the doctor that amputation is okay, because you can just quietly polish the delicate steel frame on your leg in the middle of the night, instead of looking at once having a leg Are you in a daze?" Gregory asked rhetorically. "Ask yourself, do you really care about letting patients live with dignity?"

"Of course, our purpose as doctors is to save lives and heal wounds, of course—" the male student replied immediately, but was interrupted by Gregory halfway through.

"Of course you care about the rights and interests of patients, but what you can't deny is that doctors actually care more about their own." Gregory spread his hands. "Of course, this is not incomprehensible, because if doctors try to preserve more tissue from the patient, the greater the possibility of error and the greater the risk, so many doctors will choose a more secure approach, even if only It's to keep your job, keep your family, keep your thriving kids."

"In the end, did he amputate his leg?" the female student asked.

"They did bypass surgery, but the patient was in severe pain after the operation and volunteered to undergo a chemically induced coma to get through the worst period of pain." Gregory's tone was low and his speech rate was very fast slow. "During that time, his wife, acting as a health surrogate, informed the hospital's ethics committee of the matter and, knowing the patient's objections, agreed as a regent between conservative treatment and amputation. The compromise: the patient's necrotic muscle is removed to keep him alive. The patient is safe, but because too much muscle is removed, his leg function is almost completely destroyed and he can no longer walk normally. More serious problems Yes, because the diagnosis was delayed for too long and the time for treatment was delayed, he was tormented by excruciating pain for the rest of his long life~www.NovelMTL.com~ She abused her power and she should not have done such a thing." The female student sighed.

"But she saved him," the male student retorted. "The ethics committee has already passed. I think this matter can basically be concluded."

At this moment, Gregory let out a sigh.

"Yes, the ethics committee supported Stacy and made a choice that the patient was unwilling to make." Gregory began to roll up his right pant leg. "Because they think it's better to die than live, but the price of surviving is this-"

Speaking of which, he had already rolled his right pant leg to a very high place—even showing the middle of his thigh. "Do you think there should be something here?"

On his thigh, a huge depression covering almost the entire leg surface made everyone present lose their voices.

"I used to say to Stacy before the chemical induction that when I got better we were going on a bike trip together and we were going to play golf together, so you can imagine when I woke up to find out that she had passed the decree and made me become How am I in the mood after killing a cripple?" Gregory looked at them and said. "You can say I'm living decently now, but you'll never be able to imagine how bad my pain is - that's why I work with a lot of companies that develop painkillers and muscle growth drugs, I just want to One day, I will take back the dignity that they have taken away from me as a normal person... Forget it, I told you that you don't understand, how long until the get out of class ends?"

Gregory raised his head, only to find that the pointer seemed to have just reached the time when the get out of class could be dismissed.

"Then, get out of class is over—and, the two kids in the back wait for me. I have something for you."